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Atopic Dermatitis: Tips and Treatments

Atopic dermatitis is a chronic skin disorder that starts at an early age, affecting young children more than adolescents or adults. It can be triggered environmentally or genetically, and seems to be more and more common in Korea as the years go by. Severe cases can affect a patient's adulthood as well, and therefore requires a long-term and systematic medical approach for treatment.


Symptoms of Atopic Dermatitis

Symptoms include severe itching  that comes with erythematous papules and scaly skin. The condition can significantly worsen from the scratching, which leads to more itching and more scratching, resulting in a vicious cycle, thicker skin and deep wrinkles.

Symptoms can worsen when the lesions spread widely across the body; when combined with allergic reactions/asthma; when it runs in the family; and when the patient is an only child.

Because of its complexity and difficult nature, it is strongly recommended that you consult a certified dermatology specialist for treatment, rather than relying on home remedies that have not been verified.


Preventative Measures

1. Dryness should be avoided at all costs; especially during the winters. Showers/baths should not be taken so frequently, and use soap as little as possible.

2. Wear cotton clothes instead of other chemical materials such as wool or nylon, and rinse your clothes thoroughly when using a washing machine.

3. Do not use exfoliating towels or scratch the skin with your fingernails as this can worsen the symptoms.

4. Do not wear tight-fitting clothes that can block air circulation can cause sweat.

5. Avoid dairy products, eggs, flour, nuts, seafood, artificial foods, and preservatives that can cause allergic reactions.

6. Keep your skin moisturized all the time; use a humidifier and apply moisturizer frequently.


Treatment Methods

1. UV Radiation Therapy

Studies have shown that UV rays from sunlight can have treatment effects for vitiligo. Using actual sunlight for treatment, however, would require long hours, which can cause burns and other negative side effects. This has led to the development of artificial UV radiation equipment.

2. Excimer Laser


Excimer laser is the best treatment known yet for atopic dermatitis as well as vitiligo or psoriasis. It has proven to be up to 4-6 times more effective than standard UV radiation and is covered by national Korean insurance for areas that are visible (face, lower arms/legs).

3. Steroid/Antibiotics
Often times, atopic dermatitis can get worse due to additional infections caused by scratching. Atopic dermatitis patients often have certain bacteria and toxins that trigger allergic reactions and attack the immune system, which calls for use of medication to control them. Antibiotics are especially effective when the symptoms worsen suddenly in a short period of time.

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